ANNUAL REPORT - 2018
DEPARTMENT OF SURGICAL ONCOLOGY
Department of Surgical Oncology has grown through last nineteen years with the establishment of hospital
and now has eight units. This is one of the biggest department which brings best diagnost c acumen coupled
with the state of art surgical expert se. Development of subspecialty services in Neurosurgery, Head and Neck,
Thoracic, Breast, Gastrointest nal, Urology, gynecology and Orthopedics has further improved the technical
excellence in each specialty.
Doctors in each units has extensive experiences in doing radical surgeries of different complexit es to improve
the survival and provide good the quality of life to pat ents. All understand surgeon as a prognost c factor in
surgical oncology to strive for beterment. At the meant me, team approach of nurses and other allied health
workers has become of paramount importance to make the peri-operat ve care beter.
Different units work independently as well as in collaborat on as part of the mult disciplinary care team.
Doctors provide expert opinion about biopsy techniques, opt mal image guidance, the likelihood of achieving
clear margins (especially in borderline resectable cases), and what role there is, if any, for surgical management
of more advanced disease. Although chemotherapy and radiat on therapy are commonly used either pre- or
post-operat vely, a quality surgery is crit cal because it is not clear that chemotherapy or radiat on can correct
or compensate for an inadequate surgery.
Table 1: Unit wise OPD, Admissions and Major Operat ons
Head and Neck Surgery
The vast experience of surgeries in the past year has brought an unmatched excellence to the department.
Different units has gained standard pract ce algorithm in common diseases and has become pioneers in few
segments like three-field nodal dissect on for esophageal cancer, D2- gastrectomy in gastric cancer, USG
guided brain tumor surgery, various flap reconstruct ons in head and neck cancer surgery, VATS-laparoscopy
assisted esophagectomy, orthotopic neobladder in urinary bladder cancers, sent nel nodal biopsy in breast
cancer, and endo-prosthet c implants in bone tumor surgery etc.
Chinese medical team has been very instrumental in grooming the surgical department and their cont nuous
support has imparted many new technology and insights. Department of Surgical Oncology offers a broad
array of educat onal opportunit es for surgeons at all levels of training. The department has surgical residents
from various medical colleges in surgical oncology. Cont nuing medical educat on is offered in the form of
numerous surgical specialty conferences throughout the week. These are organized in a disease management
set ng, emphasizing the mult disciplinary care of the cancer pat ent as representat ves from surgical
oncology, medical oncology, radiat on oncology, pathology, radiology and other specialt es meet to discuss
pat ents and issues of common interest. Many of our surgeons cont nued to part cipate in various nat onal
and internat onal surgical conferences.
In future, department and units plan to consolidate the rout ne delivery of services along with adaptat on
of new state of art technology in surgery. In new building, state of the art modular operat on theatre are
being built. New state of the art pre-operat ve, post-operat ve and surgical ICU set ups are already in use.
Sterilizat on units, CSSD unit will be upgraded to high standards. Minimally invasive surgery equipment will
be upgraded to higher level to encourage its use in cancer management.
(Details of surgical units and human resource scenario will be seen in respect ve art cles.)